New regulations issued by the federal Office of Population Affairs (OPA) in March 2019 prohibit Title X clinics from providing abortion referrals, require physical separation of abortion services, and mandate prenatal care referrals for all pregnant women. These regulations have resulted in eight separate lawsuits against the regulations. Although a preliminary injunction initially blocked the regulations from being implemented, the 9^th Circuit Court of Appeals stayed the injunction and the rule became effective July 15, 2019. Title X grantees were required to submit a compliance plan to OPA on August 19, 2019, documenting the steps they will take to comply with the final rule.

Title X programs in several states, including Maine, Oregon, and Washington, have decided to either withdraw from Title X or put a hold on drawing down funds as the cases move through the federal district courts. The Title X program has been providing grants to 90 organizations, which fund 4,008 clinics across the country. Planned Parenthood as an organization formally withdrew from the program on August 19^th, a decision that affects eight Planned Parenthood grantees and 410 Planned Parenthood clinics supported by Title X. An additional 631 clinics composed of city or state health departments, federally qualified health centers, and nonprofit organizations are no longer using Title X funds. These decisions affect all of the Title X clinics in Hawaii, Maine, Oregon, Utah, Vermont, and Washington and the majority of Title X clinics in Alaska, Connecticut, Illinois, Maryland, Minnesota, New York, and New Hampshire.

The map and table below show the status of Title X sites by state as of December 20, 2019. This analysis is based on KFF analysis of the June 2019 listing of Title X sites available from the HHS Office of Population Affairs and public statements and news coverage regarding clinic and grantee participation in Title X. Additional grantees may end up withdrawing from the Title X program if OPA does not find the grantee’s submitted plan a good-faith effort to comply with the new Title X regulations. While most of the regulation is currently in effect, grantees are not required to adhere to the physical separation of separately financed abortion services requirement until March 4, 2020.